Springfield Sports Emergency Medical Corporation

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

OS004263L Issued in PA

Legal business name

SPRINGFIELD SPORTS EMERGENCY MEDICAL CORPORATION

Practice address

166 Saxer Ave
Springfield, PA 19064-2335

Phone

(610) 328-7262

Fax

(610) 328-4440

NPI assigned

Nov 22, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Robert Fong Sing, DONPI 1598853301

Title

President

Phone

(610) 328-7262

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Fong Sing, DO

  • Family Medicine Physician
  • Sringfield, PA
  • NPI 1598853301
  Medicare reassignment Care Compare group NPD Authorized official
• Christopher Davis, DO

  • Family Medicine Physician
  • Springfield, PA
  • NPI 1922196724
  Medicare reassignment Care Compare group NPD
• Marisa Lee Hughes, PA C

  • Physician Assistant
  • Springfield, PA
  • NPI 1417036492
  NPD (past)
• Jonathan R Levy, PA

  • Medical Physician Assistant
  • Springfield, PA
  • NPI 1114456910

  Multi-Specialty

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891860060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 SAXER AVE",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190642335",
            "telephone_number": "610-328-7262",
            "fax_number": "610-328-4440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 SAXER AVE",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190642335",
            "telephone_number": "610-328-7262",
            "fax_number": "610-328-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD SPORTS EMERGENCY MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SING",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "FONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-328-7262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "PA",
            "license": "OS004263L",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "PA",
            "license": "OS012109",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007120910012",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Springfield PCH LLC (Springfield Crossings)
• Springfield Pharmaceuticals LLC (Springfield Pharmacy)
• Springfield Pharmaceuticals LLC (Springfield Pharmacy)
• Springfield Psychological PC (Associates of Springfield Psychological)
• Springfield School District
• Rachel Spurrier
• Susan Marie Stabler Haas, LMFT, MSN, RN,CS
• Gabriel Stanziano, PSYD, LPC
• Joshua Steiner, M.D.
• William Stern, PA-C

• Sports Medicine (Family Medicine) Physician in Springfield, PA
• Providers in Springfield, PA by specialty
• Sports Medicine (Family Medicine) Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.